THE  EFFECTIVENESS OF CONSULTANT LED COMMUNITY BASED ORAL HEALTH CARE DELIVERY MODEL CONDUCTED IN COLOMBO MUNICIPAL COUNCIL AREA BY THE NATIONAL DENTAL HOSPITAL, SRI LANKA

C Gajanayake

doi:10.17501/24246735.2022.7206

Authors

C Gajanayake

DOI:

https://doi.org/10.17501/24246735.2022.7206

Keywords:

mobile dental service, socially disadvantage people, diabetic, pregnancy

Abstract

Access to oral health services is considered to be a fundamental human right but hardly integrated into mainstream health care provision in many countries. In contrast, Sri Lanka offers an extraordinary public health care delivery model in which oral health care is integrated into the existing main stream public health care services. Against this backdrop, present description showcases establishment of a consultant-led, community based service delivery model by a National Dental Hospital to cater to high risk groups. A total of 864 diabetic patients, who attended diabetic clinics of National Hospital of Sri Lanka and who the residents of selected area, were screened for oral diseases of which 413 (47.8%) were referred for oral health care and 201 (48.7%) were provided with oral health care and oral health promotion. Moreover, 390 high caries risk children who attended selected preschools of Colombo Municipal Council (CMC) region were screened for dental caries and 260 (66.7%) were referred and 102 (39.2%) were treated. Furthermore, a total of 2447 pregnant mothers who attended antenatal clinics of CMC were educated on oral health and screened for oral diseases. Out of them, 1789 (73.1%) were referred for oral health care and 855(47.8%) treated. Consultant-led, community based service has catered to high risk target group of diabetic patients, preschool children and pregnant mothers who carry a high burden of oral disease. However, treatment coverage needs improvements by suitable interventions.

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